Fairview Heights Medical Group Sc, NPI 1326171158
Pediatric Cardiology Physician in Mount Vernon, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1326171158
NPI Entity Type Organization
Provider Name Fairview Heights Medical Group Sc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4230 Lincolnshire Dr Ste A, Mount Vernon, IL, US
Provider Mailing Address 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO, US, 631418573
Is Sole Proprietor? No
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Organization Official

Official Name MD Raymond P Davidson II
Official Position PRESIDENT
Phone 314-286-2028

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2080P0202X

Taxonomy Name Pediatric Cardiology Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

Description A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Other Organization Name

Pediatric Cardiology of Illinois
Doing Business As

Business Address

Fairview Heights Medical Group Sc
4230 Lincolnshire Dr Ste A

Mount Vernon, IL, US

Phone: 618-241-1833

Mailing Address

Fairview Heights Medical Group Sc
670 Mason Ridge Center Dr
Suite 300
Saint Louis, MO, US
ZIP 631418573
Phone: 314-996-7644
Fax: 314-996-7658

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